摘要
目的:探讨急诊床旁超声心动图评估冠心病监护病房(CCU)心肌梗死患者的临床应用价值。方法:入选经冠状动脉造影证实冠状动脉管腔狭窄面积>50%的冠心病患者共158例,进行急诊床旁超声心动图检查并进行诊断,统计阳性确诊数,并与心电图检查的确诊情况进行比较。结果:入选的158例研究对象中,急诊床旁超声心动图阳性诊断者130例,阳性率为82.3%;急诊心电图检查诊断为心肌梗死患者97例,阳性率为61.4%。床旁超声心动图阳性诊断率高于心电图(P<0.001)。床旁超声心动图还具有可视化观察心肌梗死患者室壁的异常运动以及有利于及时确诊心肌梗死的并发症。结论:急诊床旁超声心动图对CCU心肌梗死患者具有很好的临床应用价值,能准确判断心脏形态结构及功能改变,为临床治疗决策提供重要诊断信息。
Objective： To discuss the clinical value of emergent bedside echocardiography in assessing patients with myocardial infarction in Coronary Heart Disease Care Unit（ CCU）. Methods： A total of 158 patients underwent coronary angiography and finally confirmed with coronary artery stenosis with stenotic area larger than 50% of lumen. Patients were diagnosed by emergent bedside echocardiography,and the positive number of patients was calculated statistically and compared with the result making through electrocardiography. Results： Among the 158 patients,130 cases were diagnosed by emergent bedside echocardiography which were with the positive rate of 82. 3%. The positive rate of diagnosis by echocardiography was significantly higher than 61.4%（ 97 cases） of electrocardiography（ P〈0.001）. In addition,it had clear vision in observing abnormal ventricular activity in patients with myocardial infarction and it was helpful for bedside echocardiography to confirm the associated complications. Conclusion：Emergent bedside echocardiography has a good value in assessing patients with myocardial infarction in CCU,it can accurately determine the changes of cardiac structures and functions. It can not only provide convenient services for patients,but also essential diagnostic information for clinical management.
出处
《华夏医学》
CAS
2017年第5期39-42,共4页
Acta Medicinae Sinica
关键词
心肌梗死
超声心动图
急诊床旁
CCU
myocardial infarction
echocardiography
emergency bedside
CCU
作者简介
李华贵（1982一），男，广西玉林人，2007年毕业于桂林医学院临床医学专业，现任玉林市第一人民医院主治医师。主要研究方向：小儿、胎儿及成人心脏超声。
